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I work in a high volume ER.in midwest and it is getting bad here.....35yo almost dead on vent now healthy before......59 yo healthy guy dead in 4 hours in er last nite....oh boy this chit is bad....over 50 cases a day in er now..the flu test is worthless
Funny you should mention that, kli. My better half who works in ob/gyn in a VERY upscale area said that the hospital at which the practice she works with is based just had 4 healthy pregnant women die from swine flu in the last 24 hours.
Docs here are trying to not spread panic, but word is going around that, at least down here, a stronger type is starting to circulate among young otherwise healthy adults.
we are noticing the SAME thing....this sucker is ramping up...i am worried hope i am wrong.....but the morbidity seems to be suddenly worsening
My daughter had it in late July. She did not even have a fever, and the only reason we took her to the doctor is because she had a deep cough and we knew h1n1 was going around.
Last month, my son got it, and he had a fever for 1 1/2 days with the same deep cough.
Now, through my wife I am hearing about a number of deaths. Also, went to a charity function last Thurs night and a friend of mine informed us his close friend is on ventilator in hospital and may not survive. He said his friend was otherwise healthy, non-smoker, around 45.
Other people at the function started talking about h1n1 DEATHS about other people they knew. Mostly 30-50s healthy adults.
Not good. But more and more anecdotes of things gone seriously bad for people that should not be dying from this, IF you believe what the government has to say about this.
Take it from someone who's been there and done that: this mutha is well on its way to overwhelming an already strained health care system. You're right about another thing: the test is worth exactly phuck all.
While I'm not exactly on the front lines, so to speak, I'm getting a distinct notion of where this is all heading through my research and firsthand observation of the infected (myself included). I'm seeing subtle yet distinct variations of Influenza A (other than what has been turned up in Brazil and Peru) and these variants will only continue to diverge, wreaking more havoc as they reassort.
I won't go into any great detail about my recent findings, but suffice it to say, I'm getting major funding all of the sudden, and it's no longer to be directed at prevention, but rather crisis management and loss mitigation - take that for what it is. The vaccines, while conferring a certain degree of immunity to the virus, are arriving too late (this thing is already spreading at an almost exponential rate) and will not be efficacious towards the end of an extended flu season.
A good friend of mine (medical examiner) is quite busy in these parts.
Sounder wrote:This is from the horses mouth, so to speak Dr.Maurice Hilleman, senior scientist at Merck.
It contains some good history on vaccine development.
http://www.youtube.com/watch?v=lCus0zB_ilE
chiggerbit wrote:Good luck on getting vaccinated, buggy. Supplies are trickling in awfully slowly. Like I've said before, I think it's possible that this one will burn itself out before the majority of people will even have a chance of getting vaccinated, it's moving that fast.
chiggerbit wrote:Wow, i can't believe you got it that quickly, buggy, asthma or not.
I haven't seen one single report yet of adverse effects from anyone who has gotten the shot.
Nordic wrote:Why is the needle blunt?
Why, if this is just a regular vaccine, created like all the other flu vaccines, is the needle blunt?
It's thicker so that something bigger than normal can be injected into you.
What is that?
Doesn't that bother anybody?
Btw, my doctor friend looked at the most recent CDC stats this afternoon and said the flu mortality in raw numbers is, so far, about 15% higher than a normal flu season. Which is not much in a historical sense. Though of course that may change.
How to choose a needle size for an injection
A 25 gauge needle is a fairly small needle that also comes in short lengths making them ideal for injections that are done frequently i.e. once or more times a day. They are very sharp and thin making the injection less painful. Insulin syringes have 25 gauge needles which is helpful since diabetes sometimes need to give themselves more than one injection a day.
Tuberculin syringes (used for TB skin tests) also have 25 gauge short needles and are sharp enough to only pierce the most superficial skin layer and allow injection of TB test fluid that creates that small little fluid blister. TB syringes with 25 gauge needles are the needle of choice for daily heparin shots so that the injection site bleeds very little after the shot and the short needle length puts the medication at the proper depth.
A 22 gauge needle is used for injections into muscle (intra-muscular) provided that the medication is fairly liquid like Vitamin B12 mentioned before, or into the layer above the muscle called the subcutaneous space. A 22 gauge needle is also longer 1- 1 inches in length, so it can reach the deeper space. All pain medication, many antibiotics and steroids are given through a 22 gauge needle.
Choose a 20 gauge needle if the medication is thicker or more vicious so the medication can flow more easily. The larger the gauge needle, the larger the opening inside the needle is for the fluid to flow through. This larger opening is sometime referred to as a larger "bore" needle. Needles that are 20 gauge are never used for subcutaneous injections, they are simply too big. If the medication being given is irritating a "Z" track technique is used to prevent leakage of the drug into the surrounding tissue.
Blood drawing requires more judgment and skill than giving an injection and paying attention to gauge is more important. The diameter of a blood cell is pretty small and in adults, blood is supposed to be drawn through a minimum of a 20 gauge needle since they have a larger opening or bore to prevent damage to the blood cells.
In smaller adults and young children, blood is frequently drawn with a 21, 22 or a 23 gauge butterfly needles (named from the plastic wings next to the needle). However, the risk of damaging the blood cells is higher and blood flows slower through the smaller gauge needles risking early clotting in the tube. This can make the lab results inaccurate so larger bore needles such as a 20 or 18 gauge are preferred in adults.
Ultimately, thorough knowledge of proper choice of needle gauge will ensure the patient experiences the least pain, the most efficient delivery of medication and the greatest benefit during injections or blood draws. No one ever likes to have to re-stick a patient because blood or medication won't flow properly so choose wisely when you make your first selection.
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